Intended for healthcare professionals

Letters Fusion for lumbar spinal stenosis?

Author’s reply to Dean and Coakley

BMJ 2016; 354 doi: (Published 23 August 2016) Cite this as: BMJ 2016;354:i4603
  1. Ashley A Cole, consultant spinal orthopaedic surgeon
  1. Department of Orthopaedics, Northern General Hospital, Sheffield S5 7AU, UK
  1. ashley.cole{at}

In reply to Dean and Coakley,1 2 I am familiar with the Cochrane review and also a clinical review article from The BMJ on the management of lumbar spinal stenosis.3 Both articles note that studies into the management of this condition are difficult because of its heterogeneity, the varying severity of symptoms, the failure of studies to define their conservative management, and …

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